Provider Demographics
NPI:1609172980
Name:DALEY, WENDY A (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:A
Last Name:DALEY
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 N MAITLAND AVE # 940424
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5515
Mailing Address - Country:US
Mailing Address - Phone:917-324-6569
Mailing Address - Fax:
Practice Address - Street 1:1650 N MAITLAND AVE
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-3320
Practice Address - Country:US
Practice Address - Phone:407-628-2286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME146972207L00000X, 207L00000X
NY251335-1208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice